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Integrated and collaborative care

Chapter by: Lavakumar, Mallika; Makurumidze, Getrude; Bradley, Mark V; Avery, Ann
in: HIV psychiatry: A practical guide for clinicians by Bourgeois, James A [Ed]; Cohen, Mary Ann Adler [Ed]; Makurumidze, Getrude [Ed]
Cham, Switzerland: Springer Nature Switzerland AG; Switzerland, 2022
pp. 499-521
ISBN: 978-3-030-80664-4
CID: 5296642

HIV syndemics

Chapter by: Abdurrahman, Mariam; Pereira, Luis F; Bradley, Mark V
in: HIV psychiatry: A practical guide for clinicians by Bourgeois, James A [Ed]; Cohen, Mary Ann Adler [Ed]; Makurumidze, Getrude [Ed]
Cham, Switzerland: Springer Nature Switzerland AG; Switzerland, 2022
pp. 327-347
ISBN: 978-3-030-80664-4
CID: 5296652

Trauma and stressor-associated disorders

Chapter by: Bradley, Mark V; Kapetanovic, Suad; O'Leary, Thomas (Ryan); Lyon, Maureen E
in: HIV psychiatry: A practical guide for clinicians by Bourgeois, James A [Ed]; Cohen, Mary Ann Adler [Ed]; Makurumidze, Getrude [Ed]
Cham, Switzerland: Springer Nature Switzerland AG; Switzerland, 2022
pp. 135-149
ISBN: 978-3-030-80664-4
CID: 5296662

Consultation, assessment, and evaluation

Chapter by: Cohen, Mary Ann Adler; Wilkin, Danielle; Bradley, Mark V; Pereira, Luis F; Cozza, Kelly L; Patel, Christina M
in: HIV psychiatry: A practical guide for clinicians by Bourgeois, James A [Ed]; Cohen, Mary Ann Adler [Ed]; Makurumidze, Getrude [Ed]
Cham, Switzerland: Springer Nature Switzerland AG; Switzerland, 2022
pp. 67-91
ISBN: 978-3-030-80664-4
CID: 5296672

HIV testing and prevention

Chapter by: Bradley, Mark V; Pereira, Luis F; Cohen, Mary Ann Adler
in: HIV psychiatry: A practical guide for clinicians by Bourgeois, James A [Ed]; Cohen, Mary Ann Adler [Ed]; Makurumidze, Getrude [Ed]
Cham, Switzerland: Springer Nature Switzerland AG; Switzerland, 2022
pp. 23-43
ISBN: 978-3-030-80664-4
CID: 5296682

Factors Affecting Psychiatry Resident Decision to Pursue Consultation-Liaison Psychiatry or Other Subspecialty Fellowship Training

Becker, Madeleine A; Bradley, Mark V; Montalvo, Cristina; Nash, Sara S; Shah, Sejal B; Tobin, Marie; Desan, Paul H
BACKGROUND:There is a national shortage of psychiatrists with subspecialty fellowship training, and many fellowship positions are unfilled. OBJECTIVE:We conducted a survey of US psychiatry residents to better understand the motivation to pursue fellowship training and to determine any specific factors that were particularly influential in choosing a fellowship in consultation-liaison (C-L) psychiatry. METHODS:Online surveys were distributed electronically to US general psychiatry residents through the American Association of Directors of Psychiatric Residency Training list server. RESULTS:A total of 219 questionnaires were completed. Interest in fellowship declined during residency training. Most important factors in consideration of fellowship training were lifestyle (89%), finances (69%), and academic opportunities (63%). Specific influential factors were residency experiences, attending staff as a role model, and medical school experiences. Most important discouraging factors were extra training time, financial concerns, and belief that fellowship training was not necessary. Only 30% of residents had outpatient C-L psychiatry experiences. Few residents belonged to any subspecialty organization or attended any subspecialty meeting. Residents interested in C-L psychiatry fellowships had lower expectation of increased salary than other residents. Outpatient practice settings were seen as preferable over inpatient settings by most residents. CONCLUSIONS:Results of this survey suggest that enhancing consultation psychiatry exposure in medical school and residency with strong role models, outpatient C-L psychiatry experiences, facilitating subspecialty organization membership and meeting attendance, emphasizing academic opportunities of fellowship training, and improving remuneration for fellowship-trained psychiatrists might be important factors that could improve recruitment into C-L psychiatry and other psychiatric fellowships.
PMID: 32665148
ISSN: 1545-7206
CID: 4539102

Systemic racism and substance use disorders

Farahmand, Pantea; Arshed, Arslaan; Bradley, Mark V.
Increasing attention to systemic racism in the United States in all aspects of life has sharpened focus on its effects on the health outcomes of Black, Latinx, and Indigenous populations. Racial disparities in substance use disorders remain a significant public health problem in mental health, and psychiatrists require sufficient knowledge and awareness to help address these disparities. First, this article reviews evidence of racial disparities in substance use disorders. We then discuss the historical and legal foundations of systemic racism and substance use disorder disparities and explore research examining the role of systemic racism in substance use disorder outcomes on structural and individual levels. Finally, we discuss recommendations for providing substance use disorder care in a more racially equitable manner.
SCOPUS:85096105869
ISSN: 0048-5713
CID: 4683172

Use of Granulocyte Colony-Stimulating Factor in a Neutropenic HIV-Infected Patient on Clozapine

Elmore, Hudson; Lewin, Justin; Bradley, Mark; Sinkman, Arthur
PMID: 27720385
ISSN: 1545-7206
CID: 2278212

DHEA and Cognition in HIV-Positive Patients with Non-Major Depression

Bradley, Mark; McElhiney, Martin; Rabkin, Judith
BACKGROUND: Dihydroepiandrosterone (DHEA) has been investigated for its potential role in improving cognition in a number of patient populations. Treatment options are limited for HIV-associated neurocognitive disorders. OBJECTIVE: The authors tested the effect of DHEA administration on the cognitive functioning of HIV-positive subjects with non-major depression. METHOD: The neuropsychological testing data for 60 HIV-positive patients enrolled in a clinical trial for non-major depression were analyzed to determine if DHEA-treated patients demonstrated improved cognitive functioning versus placebo. RESULTS: At baseline, 80% of the sample met criteria for asymptomatic cognitive impairment. No benefit in cognitive performance was found on 16 of 17 neuropsychological measures evaluated. One measure showed a modest benefit for placebo-treated patients over DHEA. CONCLUSION: DHEA treatment was not associated with improved cognitive performance in HIV-positive patients with non-major depression.
PMCID:3348424
PMID: 22296865
ISSN: 0033-3182
CID: 166784

Lack of understanding of acute HIV infection among newly-infected persons-implications for prevention and public health: The NIMH Multisite Acute HIV Infection Study: II

Remien, Robert H; Higgins, Jenny A; Correale, Jackie; Bauermeister, Jose; Dubrow, Robert; Bradley, Mark; Steward, Wayne T; Seal, David W; Sikkema, Kathleen J; Kerndt, Peter R; Mayer, Kenneth H; Truong, Hong-Ha M; Casey, Corinna Young; Ehrhardt, Anke A; Morin, Stephen F
Acute/early HIV infection is a period of high HIV transmission. Consequently, early detection of HIV infection and targeted HIV prevention could prevent a significant proportion of new transmissions. As part of an NIMH-funded multisite study, we used in-depth interviews to explore understandings of acute HIV infection (AHI) among 34 individuals diagnosed with acute/early HIV infection in six US cities. We found a marked lack of awareness of AHI-related acute retroviral symptoms and a lack of clarity about AHI testing methods. Most participants knew little about the meaning and/or consequences of AHI, particularly that it is a period of elevated infectiousness. Over time and after the acute stage of infection, many participants acquired understanding of AHI from varied sources, including the Internet, HIV-infected friends, and health clinic employees. There is a need to promote targeted education about AHI to reduce the rapid spread of HIV associated with acute/early infection within communities at risk for HIV.
PMCID:2787764
PMID: 19533323
ISSN: 1573-3254
CID: 2558662